Osteoarthritis of the shoulder is diagnosed when the cartilage between the scapula and the end of the upper arm is severely worn or even non-existent. This may be due to old fractures, dislocations, tumors, infections or inflammation. The majority of people affected by this pathology are women, often aged 50 and over.
When osteoarthritis is present on both shoulders, it's called bilateral osteoarthritis.
A person with osteoarthritis of the shoulder will immediately experience shoulder pain, restricted mobility, shoulder locking and/or creaking during movement.
To prevent symptoms from worsening, it's important to consult a doctor so that an X-ray can be taken and treatment (arthroscopy) initiated if necessary.
The cruciate ligaments (anterior and posterior cruciate) can be found in the knee. Their purpose is to provide stability to prevent it from twisting or leaning forwards or backwards.
Sportsmen and women are the main sufferers of cruciate ligament tears, as their knees are under constant strain. There's also evidence that, because of their morphology and the way their muscles work, women are more at risk than men.
This pathology very often affects just one ligament. It is rare for both cruciate ligaments to tear.
Symptoms appear immediately after rupture: knee pain and swelling, creaking, and difficulty walking.
To remedy these symptoms, a surgical procedure, such as arthroscopy, will be performed, allowing the cruciate ligament to be "rebuilt".
Radius callus is a deformity of the radius bone (forearm bone) when it heals after a fracture. This may be the result of an error in immobilizing the radius. This pathology may be extra-articular (fracture above the joint), or articular (fracture through the joint).
Vicious calluses are easy to detect because they are visible to the naked eye. In addition, the following symptoms will appear: wrist pain on exertion, a sensation of pins and needles in the wrist (especially at night), less and less muscle strength and joint amplitude.
When one or more of these symptoms occur, it is advisable to have an X-ray, CT scan and/or arthroscan. To treat the radius callus, a specialist will perform an osteotomy.
The rotator cuff is a set of tendons at the level of the humeral head. A rotator cuff tear occurs when a hole is created in the tendon, causing imbalance and inflammation in the shoulder. This pathology affects many people from the age of 20. Nearly one person in two suffers from it around the age of 70. Its main causes are trauma, repetitive strain injury or poor posture.
Pain, cracking sensations and difficulty in moving the shoulder will be felt immediately.
Arthroscopy will be recommended to alleviate these symptoms.
Shoulder arthroscopy is recommended for shoulder problems such as osteoarthritis of the shoulder or rotator cuff lesions. The procedure is performed under general anaesthetic, and can be carried out without surgery. In fact, only two incisions of around 2 millimeters are made to allow the arthroscope and surgical instruments to pass through. With the help of a mini-camera, the specialist can observe and intervene inside the shoulder joint. The images are projected onto a screen in front of the specialist. Sterile fluid is constantly added to the level to give the surgeon room to work.
Once the operation is complete, a splint must be worn for approximately 2 weeks.
Knee ligamentoplasty is the treatment used when a person has a torn anterior cruciate ligament through arthroscopy. Arthroscopy makes it possible to intervene without surgery.
The aim of this operation is to restore the knee's stability by replacing the torn ligament. This will prevent cartilage damage, which could worsen the knee's condition.
After the operation, several months of rehabilitation are required before the patient can resume normal sporting activity.
To treat radial callus, a specialist will perform an osteotomy. This involves realigning the bone correctly, cutting it at the site of the deformity, then fixing it in place with special hardware. The bone can be completely immobilized in a cast for a few weeks.
Following this, rehabilitation is necessary to relearn as many movements as possible.
SPÉCIALITÉS
Dr Romano est expert en chirurgie de la main et de l’épaule. Il exerce des interventions innovantes telle que l’arthroplastie totale d’épaule pilotée avec assistance numérique ultra-personnalisée.
Également reconnu pour ses techniques de reconstruction par greffes après traumatismes graves de pratique civile ou de blessures de guerre des membres inférieurs et supérieurs.
EXPÉRIENCE
Qualifié en chirurgie de la main
DIU de pathologie du membre supérieur
Ancien Interne des Hôpitaux de Paris;
Ancien Chef de Clinique des Hôpitaux de Paris;
Membre associé de la Société Française de Chirurgie de la Main;
Membre de la Société Israélienne de Chirurgie de la Main;
Membre de la Société Vietnamienne de Chirurgie de la Main;
Membre associé de la Société Française d’Orthopédie et de Traumatologie;
Membre de la Société d’anatomie de Paris.
